ABSTRACT
Why we only infrequently detect or report two or more respiratory viruses co-infecting an adult host is poorly understood. We report a rare case where influenza B and SARS-CoV-2 caused viral pneumonia in a 74-year-old man diagnosed during the UK winter epidemic/pandemic for these organisms and discuss concepts of co-infection.
Subject(s)
Coinfection , Coronavirus Infections , Influenza B virus , Influenza, Human , Pandemics , Pneumonia, Viral , Aged , Betacoronavirus , COVID-19 , Community-Acquired Infections , Continuous Positive Airway Pressure , Humans , Lung/diagnostic imaging , Lung/pathology , Male , SARS-CoV-2ABSTRACT
A 40-year-old man developed acute brainstem dysfunction 3 days after hospital admission with symptoms of the novel SARS-CoV-2 infection (COVID-19). Magnetic resonance imaging showed changes in keeping with inflammation of the brainstem and the upper cervical cord, leading to a diagnosis of rhombencephalitis. No other cause explained the patient's abnormal neurological findings. He was managed conservatively with rapid spontaneous improvement in some of his neurological signs and was discharged home with continued neurology follow up.